title: Effect of a Health Belief Model-based nursing intervention on Chinese patients with moderate to severe chronic obstructive pulmonary disease: a randomised controlled trial.
abstract: OBJECTIVE
  To test the effect of a Health Belief Model-based nursing intervention on healthcare outcomes in Chinese patients with moderate to severe COPD.
  
  
  BACKGROUND
  The Health Belief Model (HBM) has been internationally validated in a variety of chronic conditions. However, nursing intervention based on the HBM is less explored in Chinese patients with COPD.
  
  
  METHODS
  A randomised controlled trial.
  
  
  METHODS
  Enrolled patients were randomly assigned to the intervention and control groups. Patients in the intervention group received a 20- to 30-minute HBM-based nursing intervention every 2 days during the hospitalisation period after disease conditions were stable, with additional follow-ups after discharge. Patients in the control group received routine nursing care.
  
  
  RESULTS
  Patients had significantly increased scores of health belief and self-efficacy after receiving the HBM-based nursing intervention. After receiving the 3-month follow-up, patients in the intervention group had significantly higher mean total scores in the Health Belief Scale and the COPD Self-Efficacy Scale, as well as in all the subscales, than those in the control group except the perceived disease seriousness. Results showed that the value of FEV1 /FVC ratio had a significant difference between study groups before and after the intervention. Results also indicated that mean scores of the Dyspnea Scale, 6-minute walking distance and ADL were significantly different between the groups and between the study time-points.
  
  
  CONCLUSIONS
  Among patients with moderate to severe COPD, nursing intervention based on the HBM can enhance their health belief and self-efficacy towards the disease management, decrease dyspnoea and improve exercise tolerance and ADL.
  
  
  CONCLUSIONS
  Nurses can use the HBM-based intervention to enhance patients' health belief and self-efficacy towards the management of COPD, and subsequently benefit healthcare outcomes.
authors.affiliation: Tianjin Medical University General Hospital, Tianjin, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Wang
authors.forename: Xiao-Ying
authors.initials: XY
authors.lastname: Zang
authors.forename: Jinbing
authors.initials: J
authors.lastname: Bai
authors.forename: Su-Yan
authors.initials: SY
authors.lastname: Liu
authors.forename: Yue
authors.initials: Y
authors.lastname: Zhao
authors.forename: Qing
authors.initials: Q
authors.lastname: Zhang
mesh_terms: D000368:Aged; D044466:Asian People; D003266:Continuity of Patient Care; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D029424:Pulmonary Disease, Chronic Obstructive / Q000451:nursing* / Q000473:pathology / Q000523:psychology; D020377:Self Efficacy; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: chronic obstructive pulmonary disease; health belief model; nursing intervention; pulmonary function; self-efficacy